| NPI | 1104974252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1032141) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 094621) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC22356) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2023-12-27 |